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NPI 1932963253

NPI 1932963253 : MEADOWLARK MEDICAL TRANSPORT LLC : MISSOULA, MT

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General NPI Number Information
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    NPI Number           |    1932963253
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEADOWLARK MEDICAL TRANSPORT LLC 
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Dates
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    Enumeration Date     |    02/07/2024
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    Last Update Date     |    02/07/2024
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Provider Practice Location Address
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    Address Line         |    800 KENSINGTON AVE STE LL3 
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    City                 |    MISSOULA
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    State                |    MT
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    Zip                  |    59801-5670
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    Country              |    US
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    Telephone            |    406-926-3447
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    Fax                  |    406-926-1501
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Provider Business Mailing Address
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    Address Line         |    800 KENSINGTON AVE STE LL3 
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    City                 |    MISSOULA
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    State                |    MT
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    Zip                  |    59801-5670
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    Country              |    US
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    Telephone            |    406-926-3447
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    Fax                  |    406-926-1501
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Authorized Official
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    Title or Position    |    CO-OWNER
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    Name                 |    MS. NATALIE  REDMAN 
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    Credential           |    LPN
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    Telephone            |    406-239-8777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    344600000X
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    Taxonomy Name        |    Taxi
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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